AU776685B2 - Apparatus for thermal treatment of an intervertebral disc - Google Patents
Apparatus for thermal treatment of an intervertebral disc Download PDFInfo
- Publication number
- AU776685B2 AU776685B2 AU22691/01A AU2269101A AU776685B2 AU 776685 B2 AU776685 B2 AU 776685B2 AU 22691/01 A AU22691/01 A AU 22691/01A AU 2269101 A AU2269101 A AU 2269101A AU 776685 B2 AU776685 B2 AU 776685B2
- Authority
- AU
- Australia
- Prior art keywords
- cannula
- thermal probe
- intervertebral disc
- annulus
- annulus fibrous
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
Links
- 238000007669 thermal treatment Methods 0.000 title description 4
- 239000000523 sample Substances 0.000 claims description 97
- 238000000034 method Methods 0.000 claims description 27
- 238000010438 heat treatment Methods 0.000 claims description 26
- 208000002193 Pain Diseases 0.000 claims description 25
- 238000003780 insertion Methods 0.000 claims description 17
- 230000037431 insertion Effects 0.000 claims description 17
- 238000012544 monitoring process Methods 0.000 claims description 12
- 238000003384 imaging method Methods 0.000 claims description 7
- 206010016654 Fibrosis Diseases 0.000 claims description 6
- 230000004761 fibrosis Effects 0.000 claims description 6
- 230000004044 response Effects 0.000 claims description 4
- 239000003795 chemical substances by application Substances 0.000 claims description 2
- 239000003550 marker Substances 0.000 claims description 2
- 230000000149 penetrating effect Effects 0.000 claims description 2
- 239000000463 material Substances 0.000 description 10
- 229910052751 metal Inorganic materials 0.000 description 10
- 239000002184 metal Substances 0.000 description 10
- 230000008901 benefit Effects 0.000 description 8
- 238000002560 therapeutic procedure Methods 0.000 description 6
- 208000008035 Back Pain Diseases 0.000 description 5
- 238000010276 construction Methods 0.000 description 5
- 230000030214 innervation Effects 0.000 description 5
- 238000013459 approach Methods 0.000 description 4
- 230000006378 damage Effects 0.000 description 4
- 238000009413 insulation Methods 0.000 description 4
- 230000003902 lesion Effects 0.000 description 4
- 230000005856 abnormality Effects 0.000 description 3
- 230000007850 degeneration Effects 0.000 description 3
- 239000000835 fiber Substances 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 210000005036 nerve Anatomy 0.000 description 3
- 239000010935 stainless steel Substances 0.000 description 3
- 229910001220 stainless steel Inorganic materials 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 238000002679 ablation Methods 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 239000012774 insulation material Substances 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 230000001537 neural effect Effects 0.000 description 2
- 230000037361 pathway Effects 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 229920003023 plastic Polymers 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 206010003694 Atrophy Diseases 0.000 description 1
- 240000008100 Brassica rapa Species 0.000 description 1
- 229910000531 Co alloy Inorganic materials 0.000 description 1
- 208000034657 Convalescence Diseases 0.000 description 1
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 1
- 206010061246 Intervertebral disc degeneration Diseases 0.000 description 1
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 230000001594 aberrant effect Effects 0.000 description 1
- 229910002065 alloy metal Inorganic materials 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000003444 anaesthetic effect Effects 0.000 description 1
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- 238000009835 boiling Methods 0.000 description 1
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- 230000003412 degenerative effect Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 230000002706 hydrostatic effect Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 230000003447 ipsilateral effect Effects 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 210000004705 lumbosacral region Anatomy 0.000 description 1
- 238000012806 monitoring device Methods 0.000 description 1
- 210000000653 nervous system Anatomy 0.000 description 1
- 229910001120 nichrome Inorganic materials 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- 229910052755 nonmetal Inorganic materials 0.000 description 1
- 238000002355 open surgical procedure Methods 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 210000000954 sacrococcygeal region Anatomy 0.000 description 1
- 210000000273 spinal nerve root Anatomy 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00026—Conductivity or impedance, e.g. of tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00261—Discectomy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/0042—Surgical instruments, devices or methods with special provisions for gripping
- A61B2017/00455—Orientation indicators, e.g. recess on the handle
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Otolaryngology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Thermotherapy And Cooling Therapy Devices (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US17182299P | 1999-12-21 | 1999-12-21 | |
| US60/171822 | 1999-12-21 | ||
| PCT/US2000/034139 WO2001045579A1 (en) | 1999-12-21 | 2000-12-18 | Apparatus for thermal treatment of an intervertebral disc |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| AU2269101A AU2269101A (en) | 2001-07-03 |
| AU776685B2 true AU776685B2 (en) | 2004-09-16 |
Family
ID=22625270
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU22691/01A Ceased AU776685B2 (en) | 1999-12-21 | 2000-12-18 | Apparatus for thermal treatment of an intervertebral disc |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US7896872B2 (enExample) |
| EP (1) | EP1239787B1 (enExample) |
| JP (1) | JP2003522566A (enExample) |
| AU (1) | AU776685B2 (enExample) |
| CA (1) | CA2393829C (enExample) |
| DE (1) | DE60045386D1 (enExample) |
| WO (1) | WO2001045579A1 (enExample) |
Families Citing this family (84)
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| US6821276B2 (en) * | 1999-08-18 | 2004-11-23 | Intrinsic Therapeutics, Inc. | Intervertebral diagnostic and manipulation device |
| US7258700B2 (en) | 1999-08-18 | 2007-08-21 | Intrinsic Therapeutics, Inc. | Devices and method for nucleus pulposus augmentation and retention |
| US7972337B2 (en) | 2005-12-28 | 2011-07-05 | Intrinsic Therapeutics, Inc. | Devices and methods for bone anchoring |
| US7717961B2 (en) | 1999-08-18 | 2010-05-18 | Intrinsic Therapeutics, Inc. | Apparatus delivery in an intervertebral disc |
| PT1844723E (pt) | 2000-02-03 | 2011-12-20 | Baylor College Medicine | Sistema de ablação de nervo intra-ósseo |
| AU2001239987A1 (en) * | 2000-03-06 | 2001-09-17 | Tissuelink Medical, Inc. | Fluid delivery system and controller for electrosurgical devices |
| US7811282B2 (en) * | 2000-03-06 | 2010-10-12 | Salient Surgical Technologies, Inc. | Fluid-assisted electrosurgical devices, electrosurgical unit with pump and methods of use thereof |
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| EP1315463B1 (en) * | 2000-09-07 | 2005-05-11 | Sherwood Services AG | Apparatus for the treatment of the intervertebral disc |
| US8083768B2 (en) | 2000-12-14 | 2011-12-27 | Ensure Medical, Inc. | Vascular plug having composite construction |
| US6623509B2 (en) | 2000-12-14 | 2003-09-23 | Core Medical, Inc. | Apparatus and methods for sealing vascular punctures |
| US6846319B2 (en) | 2000-12-14 | 2005-01-25 | Core Medical, Inc. | Devices for sealing openings through tissue and apparatus and methods for delivering them |
| US6890343B2 (en) | 2000-12-14 | 2005-05-10 | Ensure Medical, Inc. | Plug with detachable guidewire element and methods for use |
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| AU2002357166A1 (en) * | 2001-12-12 | 2003-06-23 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
| US7294127B2 (en) | 2002-03-05 | 2007-11-13 | Baylis Medical Company Inc. | Electrosurgical tissue treatment method |
| US7819869B2 (en) | 2004-11-15 | 2010-10-26 | Kimberly-Clark Inc. | Methods of treating the sacroilac region of a patient's body |
| US20040176759A1 (en) | 2003-03-07 | 2004-09-09 | Subashini Krishnamurthy | Radiopaque electrical needle |
| US11291496B2 (en) | 2002-03-05 | 2022-04-05 | Avent, Inc. | Methods of treating the sacroiliac region of a patient's body |
| US9949789B2 (en) | 2002-03-05 | 2018-04-24 | Avent, Inc. | Methods of treating the sacroiliac region of a patient's body |
| US9364281B2 (en) | 2002-03-05 | 2016-06-14 | Avent, Inc. | Methods for treating the thoracic region of a patient's body |
| US8882755B2 (en) | 2002-03-05 | 2014-11-11 | Kimberly-Clark Inc. | Electrosurgical device for treatment of tissue |
| US6896675B2 (en) | 2002-03-05 | 2005-05-24 | Baylis Medical Company Inc. | Intradiscal lesioning device |
| US9216053B2 (en) | 2002-03-05 | 2015-12-22 | Avent, Inc. | Elongate member providing a variation in radiopacity |
| US8518036B2 (en) | 2002-03-05 | 2013-08-27 | Kimberly-Clark Inc. | Electrosurgical tissue treatment method |
| US8150519B2 (en) | 2002-04-08 | 2012-04-03 | Ardian, Inc. | Methods and apparatus for bilateral renal neuromodulation |
| US8774913B2 (en) | 2002-04-08 | 2014-07-08 | Medtronic Ardian Luxembourg S.A.R.L. | Methods and apparatus for intravasculary-induced neuromodulation |
| US7653438B2 (en) | 2002-04-08 | 2010-01-26 | Ardian, Inc. | Methods and apparatus for renal neuromodulation |
| US7258690B2 (en) | 2003-03-28 | 2007-08-21 | Relievant Medsystems, Inc. | Windowed thermal ablation probe |
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| US8613744B2 (en) | 2002-09-30 | 2013-12-24 | Relievant Medsystems, Inc. | Systems and methods for navigating an instrument through bone |
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| US8361067B2 (en) | 2002-09-30 | 2013-01-29 | Relievant Medsystems, Inc. | Methods of therapeutically heating a vertebral body to treat back pain |
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| US20040260300A1 (en) | 2003-06-20 | 2004-12-23 | Bogomir Gorensek | Method of delivering an implant through an annular defect in an intervertebral disc |
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| US10028753B2 (en) | 2008-09-26 | 2018-07-24 | Relievant Medsystems, Inc. | Spine treatment kits |
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| US12458428B2 (en) | 2020-07-10 | 2025-11-04 | Relievant Medsystems, Inc. | Vertebral denervation in conjunction with vertebral fusion |
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Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5433739A (en) * | 1993-11-02 | 1995-07-18 | Sluijter; Menno E. | Method and apparatus for heating an intervertebral disc for relief of back pain |
| US5980504A (en) * | 1996-08-13 | 1999-11-09 | Oratec Interventions, Inc. | Method for manipulating tissue of an intervertebral disc |
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| US5833632A (en) * | 1995-12-07 | 1998-11-10 | Sarcos, Inc. | Hollow guide wire apparatus catheters |
| US5728149A (en) * | 1995-12-20 | 1998-03-17 | Medtronic, Inc. | Integral spiral band electrode for transvenous defibrillation leads |
| US6004279A (en) * | 1996-01-16 | 1999-12-21 | Boston Scientific Corporation | Medical guidewire |
| US5983141A (en) * | 1996-06-27 | 1999-11-09 | Radionics, Inc. | Method and apparatus for altering neural tissue function |
| US6126682A (en) * | 1996-08-13 | 2000-10-03 | Oratec Interventions, Inc. | Method for treating annular fissures in intervertebral discs |
| ATE339917T1 (de) * | 1996-10-23 | 2006-10-15 | Oratec Interventions Inc | Vorrichtung zur behandlung von zwischenwirbelscheiben |
| USRE40279E1 (en) * | 1997-06-26 | 2008-04-29 | Sherwood Services Ag | Method and system for neural tissue modification |
| US6146380A (en) * | 1998-01-09 | 2000-11-14 | Radionics, Inc. | Bent tip electrical surgical probe |
| US6048339A (en) * | 1998-06-29 | 2000-04-11 | Endius Incorporated | Flexible surgical instruments with suction |
-
2000
- 2000-12-18 AU AU22691/01A patent/AU776685B2/en not_active Ceased
- 2000-12-18 DE DE60045386T patent/DE60045386D1/de not_active Expired - Lifetime
- 2000-12-18 JP JP2001546321A patent/JP2003522566A/ja active Pending
- 2000-12-18 WO PCT/US2000/034139 patent/WO2001045579A1/en not_active Ceased
- 2000-12-18 US US09/739,428 patent/US7896872B2/en not_active Expired - Fee Related
- 2000-12-18 EP EP00986453A patent/EP1239787B1/en not_active Expired - Lifetime
- 2000-12-18 CA CA2393829A patent/CA2393829C/en not_active Expired - Fee Related
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5433739A (en) * | 1993-11-02 | 1995-07-18 | Sluijter; Menno E. | Method and apparatus for heating an intervertebral disc for relief of back pain |
| US5980504A (en) * | 1996-08-13 | 1999-11-09 | Oratec Interventions, Inc. | Method for manipulating tissue of an intervertebral disc |
Also Published As
| Publication number | Publication date |
|---|---|
| EP1239787A1 (en) | 2002-09-18 |
| AU2269101A (en) | 2001-07-03 |
| WO2001045579A1 (en) | 2001-06-28 |
| EP1239787B1 (en) | 2010-12-15 |
| CA2393829C (en) | 2012-02-14 |
| CA2393829A1 (en) | 2001-06-28 |
| US20040015218A1 (en) | 2004-01-22 |
| JP2003522566A (ja) | 2003-07-29 |
| US7896872B2 (en) | 2011-03-01 |
| DE60045386D1 (de) | 2011-01-27 |
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